Leadership and Management Flashcards
1
Q
What is Leadership
A
- influences beliefs, opinions, or behaviors of person/group
- guides people towards a common goal
- combination of intrinsic, personality traits, learned skills and situation
- creates and cultivates a team
- motivates and inspires
- a change agent
- can be formal or informal
- looks a mission/values and strategic plan
2
Q
Trait Theory
A
- leaders are born with certain leadership characteristics
- intelligence, energy, decisiveness, self-confidence, and cooperative
3
Q
Interactional Theory
A
-includes situational and behavioral theories that stress that leadership success comes from the interactions between the leader and their followers
4
Q
Moral Leadership Theory
A
-remaining honest fair and socially responsible under any circumstances
5
Q
Emotional Intelligence Theory
A
addresses the effect of people’s feelings on the team’s emotional reality
6
Q
Transformational Leadership
A
- teach, coach, and inspire
- seek input from followers
- continually striving to improve the workplace environment
7
Q
Transactional Leadership
A
- focused on daily activities
- negotiates work tasks and rewards
- monitors work performance and corrects when needed
8
Q
Followership
A
- role held by individuals in an organization
- team or group
- capacity or willingness to follow a leader
- the reciprocal social process of leadership
- believe in the vision
- an ACTIVE participant
9
Q
What is Management?
A
- coordinates resources (people, time, and supplies to achieve desired outcomes
- plans and organizes what is to be done, how it is to be done, and who is to do it
- supervises staff
- controls day to day operations
- directs activities
- budgets
- achieves organizational goals
10
Q
Management Theory
A
3 prevalent management styles:
- authoritarian-autocratic
- democratic-participative
- laissez-faire
11
Q
Management Functions
A
- planning
- organizing
- staffing
- directing
- controlling
- interrelated
- various phases occur simultaneously
- processes should be circular
- manager always working towards improving quality, patient safety, staff and customer satisfaction
12
Q
Management Skills
A
- stays current with own skills
- organized and thinks ahead proactive
- approachable
- knows policies and procedures
- treats everyone fairly
- role model
- communicates realities of complex situations
- problem-solver
- knowledgeable of administration theory
13
Q
Registered Nurse
A
- patient team management
- working with different customers: patient, nurses, doctors, support staff, families
- ensure that doctors orders are carried out in a timely manner
- the patient receives ordered care and services in a timely manner
- patient meets the goals of hospitalization
- contributes to departmental goals
14
Q
Team Leader
A
- Charge Nurse
- organizes and plans care for the entire unit
- problem solves
- a resource for staff
- staffing-shifts
- evaluates immediate care provided
- involvement on committees
15
Q
Clinical Coordinator
A
- staffing schedules
- audits on care provided
- coordinate nursing schools
- patient advocate
16
Q
Nurse Manager
A
- unit budgets
- performance evaluations
- ensure adherence to policy/procedures and accrediation requirements
- enhances the quality of care
17
Q
Being a change agent
A
- change=constant
- change should be for good reason, planned and implemented gradually, never be unexpected or abrupt, participative
- reasons for change?
- stages: unfreezing, moving, refreezing
- leaders: imperative to be change agent
- willing to confront the demand for change
- recognizes resistance is natural response
- be an example
- implement effective strategies
- be inclusive
- educate
18
Q
HCAHPS
A
Hospital Consumer Assessment of Healthcare Providers and Systems
- national, standardized, publicly reported
- ALWAYS answers (9&10s)
- 10 Domains
19
Q
Create “The Environment”
A
- caring and respectful for All-How
- reward & recognize- thank you
- rounding on staff and spending time
meet staff’s personal needs- scheduling
- guidance and support
- positive work environment
- address and prevent bullying
20
Q
Increasing transformational leadership in order to increase patient safety by:
A
- maximizing work force capability
- ensuring efficiency and productivity
- increasing implementation of EVP at the bedside
- creating a culture of professionalism
- redesigning patient flow through facilities
- understanding healthcare politics
21
Q
Budgeting
A
- details how financial resources will be allocated to achieve strategic goals
- dynamic plan
22
Q
Budgeting functions
A
- planning
- coordinating and communicating
- monitoring progress
- evaluating performance
23
Q
Operations control: budget
A
- first step: look at needs of unit
- get input from staff
- develop draft of budget
- review draft with nursing admin
- revise and submit to office of finance
- revise and submit to CFO and CEO
- organizational budget submitted to institutional board
24
Q
WOO
A
Winning Others Over
- relationship-based persusion
- “helping people see things differently-engaging their minds and imaginations, then getting them to take action on the idea you recommend”
- use influence and persuasion rather than coercion and force
25
Evaluating Staff
- occur at first 90 day period, then at one year mark, then annually
- coaching and feedback should occur in both informal and formal ways
- documentation of interactions should be kept
- assist employee to develop goals
- must include a timeframe for action and re-eval
26
Staffing
- ensuring adequate number and mix of healthcare team members to meet the needs of the patient
- must ensure patient safety and quality of care
- research validating value of RNs to improve patient outcomes, reducing complications, LOS, and preventing premature mortality
27
Primary considerations for staffing a nursing unit
- number of patients
- intensity, complexity of care required (acquity)
- staff experience, competency, and preparation
- availability of staff
28
Classic Nursing Care: Delivery Models
- total patient care
- functional nursing
- team nursing
- primary nursing
29
Total Patient Care
-nurse is responsible for planning, organizing, and performing all patient care during the assigned shift
30
Advantages of Total Patient Care
- RN maintains a high degree of practice autonomy
- Lines of responsibility and accountability are clear
- Patient receives hollistic un-fragmented care
- communication at shift change is simple and direct
31
Disadvantages of Total Patient Care
- number of RNs required is very costly
- some tasks could be accomplished by a caregiver with less training and at a lower cost
- nursing shortage will affect RN availability
32
Functional Nursing
- staff members are assigned to complete certain tasks for a group of patients rather than care for specific patients
- RN nurse manager assigns responsibility for completion of tasks to a group of health care workers
- RN is responsible for planning care and supervising workers
- RN retains accountability for the patient care provided
33
Team Nursing
- RN functions as a team leader and coordinates care for a small group of patients
- RN team leader responsible for planning care, assigning duties, directing, supervising, and assisting team members, giving direct care
- RN retains accountability for aall patient care
34
Primary Nursing
- RN primary nurse assumes 24 hour responsibility for planning, directing, and evaluating the patient's care from admission through discharge
- provides total patient care while on duty
- while off duty, care is provided by an associate nurse who follows the care plan established by the primary nurse
